| Charles Elias Gutierrez,phd,llc | |
|
8401 Datapoint Dr Ste 301 San Antonio TX 78229-5904 | |
| (210) 354-1186 | |
| (210) 354-1187 |
| Full Name | Charles Elias Gutierrez,phd,llc |
|---|---|
| Speciality | Psychologist |
| Location | 8401 Datapoint Dr Ste 301, San Antonio, Texas |
| Authorized Official Name and Position | Charles E. Gutierrez (OWNER) |
| Authorized Official Contact | 2103657481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Elias Gutierrez,phd,llc 8401 Datapoint Dr Ste 301 San Antonio TX 78229-5904 Ph: (210) 354-1186 | Charles Elias Gutierrez,phd,llc 8401 Datapoint Dr Ste 301 San Antonio TX 78229-5904 Ph: (210) 354-1186 |
| NPI Number | 1750587499 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Medicare PECOS PAC ID | 1052596988 |
|---|---|
| Medicare Enrollment ID | O20110419000759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750587499 | NPI | - | NPPES |
| 189691202 | Medicaid | TX | |
| 0093QA | Other | TX | BLUE CROSS BLUE SHIELD |
| 1049038 | Other | TX | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 31016 (Texas) | Primary |
| Provider Name | Charles E Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760467963 PECOS PAC ID: 2668572157 Enrollment ID: I20070712000739 |
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